3 Course ECNR Antalya
Gefaesskrankenheiten
Gefaesskrankenheiten
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Cartes-fiches
Where do DAVM occur
Most transverse sinus
or Sinus cavermosus
Classification DVAF
Congnars
when Reflex IIB Need Treatments
Treatment AVF
Onyx
How treat AVF
cVenous Sinus ?
transversus Sinus ?
tenorial?
Tranvenous coiiling, no Onyx - paresis of nerves
transarterial Onyx - Look for meningeal artery - Feeds normale Fistula comlet, nö Need for Occipital ärgern embolition
transartsrial middle memigmeal Arterie - Onyx or transvenous
Risk factor of bleeding avm
Unruptered super: o.9
unruptured deep Lok and Deep drainig 8%
ruptured bis 35%
morbitity with glue:20%
no Treatments is safer in First 3 Year
Should avm embolized?
Selected
young
small
symptomatic
risk for bleeding Deep venous drainiage und Location
In wieviel Prozent bluten assotziierte aneurysma zu Avm
20%
When embolize ruptured avms
Akut Phase :aneurysma
Else 2-3 month
Incidence of AVM
O.5 %
1/10 of all aneurysma with AVM
% associated with aneurysma in AVM
6-20%
Risiko, dass Patient mit AVM in seinem Leben blutet
105 - Age of Patient
Factor, that predictor bleeding of AVM
Prior bleeding
single draining vein
diffuse nidus
perforstor arteries
venous aneurysma
Risk for bleeding avm spinal
0.2-0.5 %
avoid InterventionenInterventionen
Anterior spinal artery has 6-8 medullary arteries
supports anterior 2/3
So
Adamkewic in 75 % in th9 and th12
So
CT Protokoll for angio spinal
Su
Keypoint AVM for Treatments
Feeder
drainage
aneurysm
venous stenosis
Benign venous Dilatation spinal
Pelvic congestions
spinal Canal stenosis
How many TIA Patents are DWI positiv
43%
Incidence 1per 1000 per year
praevalece 2% in elderly PopulationPopulation
Strokerisk After TIA ?
5% within First week
10-20% within 90 days
TIA - Goals of Imaging
Exclude other raison
Vacular?
which vascular?
prognosis
Haeufige stroke mimics?
Migräne
epilesien
convulsionen
95%(Fehldiagnosen bis 7%)
Häufigste gründe fuer TIA?
Vorhofflimmern
small vessel disease
carotisstenosen dissektionen
Was ist der ABCD score nach TIA
Risk of stroke score
age>60 1 pkt
bloodprsuure over 140 or 90 1 Pkt.
Clinical presence: unilateral, 2 Pkt. speech 1 Pkt. , other
Duration > 60 min 2 Pkt , 10-59 min 1 pkt
More than 3 Pkt -> Risk of stroke
What means abcd2 in TIA
abcd3
Abcd plus Diabetes 1 pkt
and plus Dwi 1 pkt
What is the ABCD3-I score?
ABCD 6 Pkt
plus diabetes 1 Pkt
2 TIA in Last 7 days 2 pk
plus dwi posititvity 2 Pkt
plus stenosis ACI 2 Pkt
higher sensivitiy for highrisk Patient for Major stroke in next week and 90 days > 3 Punkte indetmediat risk
> 8 Pkt High Risk
Ziel Gamma kniffe avm
Single session
endothelien and myoplast proflieration
Erfolgsrate avm embolisarion, radiosurgery and surgery
> 85% onlitaration in 3-5 years
Systemic diseases involvieng vascular structures
infectious disease • neurosarcoidosis • paraneoplastic syndromes • drugs • immunocompromised patients – HIV • systemic lupus erythematosus (SLE) • diabetes • hypertension • amyloid
Herpes 1
herpes ?
which Patienten?
Neonates Herpes 2
chkildren Herpes 1
Basale Meningitis
welche Patienten Gruppe?
Children, adolocenens
older with tuberoloma and Abszesse
Tuberkulös in T2?.
T2 hypointens
ring enhancemnd
Diffuse dwi changes with normal adc?
which disease?
Creutzfeld Jacob
variant : with DWI in basal ganglia
Heroin?
kokain?
Heroin - diffuse encephalopaie
kokain - bilateral basalganlia Infarkt oder andere infarkt
HIV encepahlitis
Sparing u-fibers
enhancemant of encephalopathie possibek
DWI positiv possible
What dös Syphilis in cerebrum
Vasculitis and Infarkts
SLE
Autoimmmun
retroviral
sekundaere vasculitis
Spinal ischemia
Eulenaugenzeichen
owl-eye
t2 hyperintensities
greymatter
Fibrocartolagenous embolisme
Spinal ischemia due to Minor Trauma an nucleus polposus embolisation through schmort Node
Vertebral Body infarction can be combined with spinal Cord Infarkation
Segmental Arterie
